title: [Update on SENLAT syndrome: scalp eschar and neck lymph adenopathy after a tick bite].
abstract: SENLAT syndrome, also known as TIBOLA/DEBONEL, is an emerging disease in France. The major symptoms are necrotic eschar on the scalp associated with painful cervical lymphadenopathy. It occurs mainly in women and children during the cold seasons after a bite by a Dermacentor tick, responsible for transmitting Rickettsia slovaca or Rickettsia raoultii. Cutaneous swabs are safe, easy and reliable tools that should be used routinely by physicians to confirm diagnosis. In this particular disease, they should be preferred to serology, which is less sensitive. Doxycycline is the antibiotic of choice for this syndrome.
authors.affiliation: Aix Marseille université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, 13005 Marseille, France.
authors.forename: M
authors.initials: M
authors.lastname: Foissac
authors.forename: C
authors.initials: C
authors.lastname: Socolovschi
authors.forename: D
authors.initials: D
authors.lastname: Raoult
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001096:Arachnid Vectors / Q000382:microbiology*; D017963:Azithromycin / Q000627:therapeutic use; D001474:Bartonella Infections / Q000175:diagnosis; D018416:Bartonella henselae / Q000302:isolation & purification; D003870:Dermacentor / Q000382:microbiology*; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D005060:Europe / Q000453:epidemiology; D005602:France / Q000453:epidemiology; D006801:Humans; D015570:Josamycin / Q000627:therapeutic use; D008193:Lyme Disease / Q000175:diagnosis; D008206:Lymphatic Diseases / Q000209:etiology*; D009333:Neck; D009336:Necrosis; D012281:Rickettsia / Q000145:classification / Q000302:isolation & purification* / Q000472:pathogenicity; D012282:Rickettsia Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology* / Q000473:pathology / Q000635:transmission; D012536:Scalp Dermatoses / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D013045:Species Specificity; D063189:Symptom Assessment; D013577:Syndrome; D064927:Tick Bites / Q000150:complications* / Q000382:microbiology; D017282:Tick-Borne Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D015047:Zoonoses
chemical_list: D000900:Anti-Bacterial Agents; D017963:Azithromycin; D015570:Josamycin; D004318:Doxycycline
keywords: Adénopathies cervicales; Cervical lymphadenopathy; Cutaneous swab; Dermacentor tick; Doxycycline; Escarre du cuir chevelu; Rickettsia spp.; Scalp eschar; Tiques Dermacentor; Écouvillon cutané